Outbreak of carbapenem-resistant Klebsiella pneumoniae: two-year epidemiologic follow-up in a tertiary hospital

This study describes a carbapenem-resistant Klebsiella pneumoniae (CRKP) outbreak that occurred from October 2008-December 2010. Polymerase chain reaction assays were performed to detect the blaKPC gene and molecular typing was performed using pulsed-field gel electrophoresis (PFGE). There were 33 C...

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Main Authors: Graziella Hanna Pereira, Doroti O Garcia, Marcelo Mostardeiro, Karina SVN Fanti, Anna S Levin
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2013-02-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762013000100019
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author Graziella Hanna Pereira
Doroti O Garcia
Marcelo Mostardeiro
Karina SVN Fanti
Anna S Levin
author_facet Graziella Hanna Pereira
Doroti O Garcia
Marcelo Mostardeiro
Karina SVN Fanti
Anna S Levin
author_sort Graziella Hanna Pereira
collection DOAJ
description This study describes a carbapenem-resistant Klebsiella pneumoniae (CRKP) outbreak that occurred from October 2008-December 2010. Polymerase chain reaction assays were performed to detect the blaKPC gene and molecular typing was performed using pulsed-field gel electrophoresis (PFGE). There were 33 CRKP infections; PFGE revealed five genotypes: genotype A in five (15%), B in 18 (55%), C in eight (24%) and two unique profiles. Genotype B was disseminated in all hospital units and belonged to the same clone identified in 11 different hospitals in the state of São Paulo. Sixteen (48%) patients died. Seven isolates (21%) were resistant to polymyxin B and 45% were resistant to tigecycline and amikacin.
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spelling doaj.art-b4442d047ccb482bbbcdfb9ae146ce6f2023-09-02T16:22:40ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602013-02-011081113115Outbreak of carbapenem-resistant Klebsiella pneumoniae: two-year epidemiologic follow-up in a tertiary hospitalGraziella Hanna PereiraDoroti O GarciaMarcelo MostardeiroKarina SVN FantiAnna S LevinThis study describes a carbapenem-resistant Klebsiella pneumoniae (CRKP) outbreak that occurred from October 2008-December 2010. Polymerase chain reaction assays were performed to detect the blaKPC gene and molecular typing was performed using pulsed-field gel electrophoresis (PFGE). There were 33 CRKP infections; PFGE revealed five genotypes: genotype A in five (15%), B in 18 (55%), C in eight (24%) and two unique profiles. Genotype B was disseminated in all hospital units and belonged to the same clone identified in 11 different hospitals in the state of São Paulo. Sixteen (48%) patients died. Seven isolates (21%) were resistant to polymyxin B and 45% were resistant to tigecycline and amikacin.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762013000100019carbapenem-resistant K. pneumoniaenosocomial outbreakpolymyxin resistance
spellingShingle Graziella Hanna Pereira
Doroti O Garcia
Marcelo Mostardeiro
Karina SVN Fanti
Anna S Levin
Outbreak of carbapenem-resistant Klebsiella pneumoniae: two-year epidemiologic follow-up in a tertiary hospital
Memorias do Instituto Oswaldo Cruz
carbapenem-resistant K. pneumoniae
nosocomial outbreak
polymyxin resistance
title Outbreak of carbapenem-resistant Klebsiella pneumoniae: two-year epidemiologic follow-up in a tertiary hospital
title_full Outbreak of carbapenem-resistant Klebsiella pneumoniae: two-year epidemiologic follow-up in a tertiary hospital
title_fullStr Outbreak of carbapenem-resistant Klebsiella pneumoniae: two-year epidemiologic follow-up in a tertiary hospital
title_full_unstemmed Outbreak of carbapenem-resistant Klebsiella pneumoniae: two-year epidemiologic follow-up in a tertiary hospital
title_short Outbreak of carbapenem-resistant Klebsiella pneumoniae: two-year epidemiologic follow-up in a tertiary hospital
title_sort outbreak of carbapenem resistant klebsiella pneumoniae two year epidemiologic follow up in a tertiary hospital
topic carbapenem-resistant K. pneumoniae
nosocomial outbreak
polymyxin resistance
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762013000100019
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